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While some studies have reported an association between long-term waterpipe smoke usage and an increased risk of coronary artery disease, others have not observed an elevated risk of cardiovascular disease (CVD)

TTE) has a low sensitivity for identifying blood clots in the heart

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[39] Martin Staemmler, a prominent physician during the Nazi era, said that smoking by pregnant women resulted in a higher rate of stillbirths and miscarriages (a claim supported by modern research, for nicotine-using mothers, fathers, and their offspring [40] [41] )